Individual
CHERYL M RUYBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 587-5955
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 587-5955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20434
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20434
LICENSE NUMBER
CO
Enumeration date
02/20/2023
Last updated
02/20/2023
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